Individual provider Active NPI

Clayton David Latiolais, LPC

  • Mental Health Counselor
  • Lafayette, LA
National Provider Identifier
1881112803
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6092 Issued in LA
Practice address
121 S Audubon Blvd
Lafayette, LA 70503
Phone
(337) 288-4095
Fax
(337) 534-8057
NPI assigned
Aug 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6092 LA Primary

Addresses

Primary practice location

121 S Audubon Blvd
Lafayette, LA 70503

Mailing address

121 S Audubon Blvd
Lafayette, LA 70503-2527
Phone (337) 288-4095

Other practice location 1

1011 Harding St
Lafayette, LA 70503-2411
Phone (337) 288-4095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Latiolais Counseling, LLC Current Accepting new patients

Locations

121 S Audubon Blvd
Lafayette, LA 70503
Phone (337) 288-4095

1011 Harding St
Lafayette, LA 70503
Phone (337) 591-7563

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881112803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S AUDUBON BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032527",
            "telephone_number": "337-288-4095",
            "fax_number": "337-534-8057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S AUDUBON BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-288-4095",
            "fax_number": "337-534-8057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Harding St",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032411",
            "country_code": "US",
            "telephone_number": "337-288-4095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATIOLAIS",
        "first_name": "CLAYTON",
        "middle_name": "DAVID",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "6092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.